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U.S. Military Veterans’ Attitudes And Perceptions Of Mental Healthcare, Bridget Milam 2021 University of Arkansas, Fayetteville

U.S. Military Veterans’ Attitudes And Perceptions Of Mental Healthcare, Bridget Milam

Health, Human Performance and Recreation Undergraduate Honors Theses

The purpose of this research project is to measure whether U.S. military veterans experience any stigma related to mental healthcare and if this is associated with age, length of service, and military branch. U.S. military veterans are a high-risk group for developing mental illnesses. It is believed social stigma and personal attitudes, perceptions and beliefs of mental healthcare may influence whether a veteran will pursue mental healthcare. This cross-sectional study was conducted as an online survey via Qualtrics resulting in 75 total responses. 21 responses were excluded from the analysis due to incompletion or failure to pass the ...


Predictors Of Opioid And Alcohol Pharmacotherapy Initiation At Hospital Discharge Among Patients Seen By An Inpatient Addiction Consult Service, Honora Englander, Caroline King, Christina Nicolaidis, Devin Collins, Alisa Patten, Jessica Gregg, P. Todd Korthuis 2020 Oregon Health & Science University

Predictors Of Opioid And Alcohol Pharmacotherapy Initiation At Hospital Discharge Among Patients Seen By An Inpatient Addiction Consult Service, Honora Englander, Caroline King, Christina Nicolaidis, Devin Collins, Alisa Patten, Jessica Gregg, P. Todd Korthuis

Social Work Faculty Publications and Presentations

Background:

Medications for opioid use disorder (MOUD) and alcohol use disorder (MAUD) are effective and under-prescribed. Hospital-based addiction consult services can engage out-of-treatment adults in addictions care. Understanding which patients are most likely to initiate MOUD and MAUD can inform interventions and deepen understanding of hospitals’ role in addressing substance use disorders (SUD).

Objective:

Determine patient- and consult-service level characteristics associated with MOUD/MAUD initiation during hospitalization.

Methods:

We analyzed data from a study of the Improving Addiction Care Team (IMPACT), an interprofessional hospital-based addiction consult service at an academic medical center. Researchers collected patient surveys and clinical data from ...


Social-Ecological And Protective Factor Approach To Managing Parental Incarceration, Jacquelyn Harris 2020 National Louis University

Social-Ecological And Protective Factor Approach To Managing Parental Incarceration, Jacquelyn Harris

Dissertations

Mass imprisonment does not only impact the incarcerated individual; it also affects approximately five million children in the United States. Researchers identified and compare the impact of parental incarceration on child development. They acknowledged the protective factors across the lifecycle from a social-ecological perspective and specifically related to parental incarceration. The comprehensive literature review inspired an innovative model, the social-ecological and protective factor approach to managing parental incarceration. The primary goal of this model is to combat the detrimental effects of parental incarceration by identifying protective factors across the lifecycle and throughout the microsystem, mesosystem, and exosystem. This model is ...


Exploration Of Physician Attitudes About Self-Care And Personal Mental Health: Possible Barriers To Physician Well Being, Candich Farrar 2020 National Louis University

Exploration Of Physician Attitudes About Self-Care And Personal Mental Health: Possible Barriers To Physician Well Being, Candich Farrar

Dissertations

The present study was designed to examine physicians’ mental health, attitudes, and behaviors toward self-care and the utilization of mental health services. As the medical field can be very demanding and exhausting, it is believed that many physicians suffer from mental illnesses such as anxiety and depression. However, it was theorized that many physicians do not engage in adequate self-care regimes or seek support and suppress their symptoms, which may further exacerbate their illnesses. A thorough literature review was performed to explore the following: possible barriers to physicians seeking mental health services to address high rates of mental illnesses, physicians ...


Overcoming Challenges In The Assessment And Treatment Of Problem Behavior In Adults With Autism, Julia A. Iannaccone 2020 The Graduate Center, City University of New York

Overcoming Challenges In The Assessment And Treatment Of Problem Behavior In Adults With Autism, Julia A. Iannaccone

All Dissertations, Theses, and Capstone Projects

Problematic behaviors, such as self-injurious behavior or aggression, demonstrated by adults with autism spectrum disorder (ASD), create many significant life complications, some life-threatening. Applied Behavior Analysis (ABA) is established as an evidence-based approach to treat problem behavior for children with ASD and shows promise as an effective treatment for adults, yet little research has been conducted within the adult population. Assessment and treatment of problem behavior with adults is often challenging due to funding limitations, increased severity and complexity of problem behavior, and underqualified staff. The purpose of the present study was to overcome these challenges by (1) identifying a ...


What Are The Relationships Between Adverse Childhood Experiences And Age Of Initiaton Of Substance Use?, Alisha Dozier 2020 California State University, San Bernardino

What Are The Relationships Between Adverse Childhood Experiences And Age Of Initiaton Of Substance Use?, Alisha Dozier

Electronic Theses, Projects, and Dissertations

ABSTRACT

Child abuse and substance abuse are significant health problems in the United States and they negatively impact the physical, emotional, and biological health of millions of individuals. It is estimated that one in four children experience child abuse, which is a risk factor for the development of substance abuse problems later in life (U.S. Department of Health and Human Services [HHS], 2018). Rates of substance abuse are increasing nationally, making the relationship between child abuse and the development of substance abuse problems important to study.

This research project analyzes the relationship between adverse childhood experiences and subsequent age ...


Controlled Observation: The Challenges Of Therapy For The Mentally Ill Incarcerated Population, Esther Tingué 2020 The Graduate Center, City University of New York

Controlled Observation: The Challenges Of Therapy For The Mentally Ill Incarcerated Population, Esther Tingué

All Dissertations, Theses, and Capstone Projects

Popular perception and objective of incarceration is confinement, brutality and in some cases inhumane conditions. But what about the incarcerated population who suffer from the additional burden of mental illness? How does confinement affect mentally ill inmates? This capstone project asks: (1) how do individuals/organizations provide rehabilitative services in this evolved culture of crime and punishment? And (2) how is therapy provided in a restricted environment? I examine these questions from the perspective of the therapist, the person who (in a restricted environment) takes on the responsibility of treating and managing the effects of mental illness for this population.


Mental Health Screening For Low Income Adolescents: An Evidence-Based Project, Allison Bryden 2020 University of San Diego

Mental Health Screening For Low Income Adolescents: An Evidence-Based Project, Allison Bryden

Doctor of Nursing Practice Final Manuscripts

Abstract

TITLE: Mental Health Screening For Low-Income Adolescents

BACKGROUND: Nearly 80% of adolescents in the United States will suffer from a mental illness and not receive evaluation or services. Children from low socio-economic backgrounds have an increased risk of mental health disorders which permeate into adulthood, leading to additional negative sequel and lower quality of life. Among adolescent mental health conditions, depression and anxiety are the most common. Literature has suggested provider intuition alone has low sensitivity and specificity for detecting mental illness and that screening tools are indicated.

PURPOSE: The aim of this project is to implement standardized routine ...


Unplugging: An Evidence-Based Project To Reduce Screen Time And Improve Healthy Media Use In The Adolescent Population, Erica Persichetti 2020 University of San Diego

Unplugging: An Evidence-Based Project To Reduce Screen Time And Improve Healthy Media Use In The Adolescent Population, Erica Persichetti

Doctor of Nursing Practice Final Manuscripts

Abstract

Background:Excessive media use is an emerging health concern amongst the pediatric population. The American Academy of Pediatrics (AAP) recommends less than 2 hours per day of recreational screen time, yet the national average is between 7 to 9 hours per day for adolescents. A media-saturated lifestyle has consequences on a child’s mental, physical, and emotional health. Despite guidelines stating media use should be assessed at annual well-visits, only 16% of providers are following this recommendation. This gap in care leaves many families with a limited understanding of the impact of media on their child's health and ...


It's More Than Just "Baby Blues" - Screening For Postpartum Depression In A Pediatric Setting, Breanna M. Lazar, Martha G. Fuller 2020 University of San Diego

It's More Than Just "Baby Blues" - Screening For Postpartum Depression In A Pediatric Setting, Breanna M. Lazar, Martha G. Fuller

Doctor of Nursing Practice Final Manuscripts

Abstract

Background: Postpartum depression (PPD) is estimated to affect up to 1 out of 7 women. Evidence and American Academy of Pediatrics (AAP) guidelines support maternal screening for PPD in a pediatric setting during well-child visits. The pediatric office is frequently visited during the first year of life and is a suitable setting to perform screening.

Aims of Service Change: Implement AAP recommended PPD screening at a busy primary care practice in Southern California using the Patient Health Questionnaire (PHQ-9).

Details of Innovation: In this pilot project, mothers (who were not patients of the pediatric practice) consented to be screened ...


A Follow-Up Phone Call To Post-Operative Patients Using The Five A’S, Brittney Ochs 2020 University of San Diego

A Follow-Up Phone Call To Post-Operative Patients Using The Five A’S, Brittney Ochs

Doctor of Nursing Practice Final Manuscripts

Abstract

Background: The 2016 National Survey on Drug Use and Health reported that 53 percent of people that misused pain relievers in the past year received them from a friend or relative. The NIDA describes that from 2002 to 2008 that drug abuse in service members went from 2% to 11%. Often patients are initially prescribed and introduced to opioid medication for acute pain. One such circumstance is in the perioperative period that could provide an opportunity to promote opioid-sparing techniques to reduce the exposure to opioids.

Purpose of Project: To assess discharge medication characteristics and reinforce discharge medication instructions ...


Kin(A)Esthetic Paper Play: A Community Engagement Project Offering A Therapeutic Experience By Exploring An Emergent Method Of Expressive Arts Therapy With Clinicians Who Studied Expressive Arts, Bed Hermin 2020 Lesley University

Kin(A)Esthetic Paper Play: A Community Engagement Project Offering A Therapeutic Experience By Exploring An Emergent Method Of Expressive Arts Therapy With Clinicians Who Studied Expressive Arts, Bed Hermin

Expressive Therapies Capstone Theses

For this community engagement project, I explored an emergent practice of Kin(a)esthetic Paper Play with expressive arts therapists. This practice aligns with Buddhist philosophy and practice in the West and its benefits can be explained through the theory of Embodied Simulation. The literature on Buddhism and Embodied Simulation highlights the positive benefits of abstract meditative processes done in groups. My goal was to explore the therapeutic elements of K(a)P within a community group setting. When elements of Kin(a)esthetic Paper Play were introduced to a group of alumni from Lesley’s Expressive Arts Therapy graduate ...


A Literature Review Of Community Art Therapy With Youth In Inner City Communities Of Color, Jennifer Habeeb 2020 Lesley University

A Literature Review Of Community Art Therapy With Youth In Inner City Communities Of Color, Jennifer Habeeb

Expressive Therapies Capstone Theses

This literature review was developed to synthesize the research surrounding community-based art therapy with youth who reside in inner city communities of color. Youth of color in inner city communities face a number of different challenges such as low socioeconomic status, social inequality, discrimination, and lack of political representation. There is currently little research on the impact of art therapy and expressive arts interventions with this population, however; these interventions have shown to be effective in a number of different areas. Literature revealed that community-based art therapy with inner city youth of color has shown to increase self-esteem, decrease symptoms ...


An Art-Based Exploration Of Interdisciplinary Reactivity Toward Problematic Clients, Devon Govoni 2020 Lesley University

An Art-Based Exploration Of Interdisciplinary Reactivity Toward Problematic Clients, Devon Govoni

Expressive Therapies Dissertations

This art-based dissertation explored professionals' reactivity toward problematic-client interactions across the art therapy, expressive arts therapy, hairstyling, and tattooing disciplines. The concept was explored with a participant from each discipline in a four-phase sculpting process and through semi-structured interviews, response sculptures, and video footage and aggregates. Research questions examined (1) what happens to the participants' professional understanding of problematic clients and (2) self-understanding through engaging in a sculpting process focused on problematic clients, (3) similarities in participants' experiences across disciplines, and (4) what happens when the researcher creates and presents response art to the research participants. The two main outcomes ...


Rhythm And Safety Of Social Engagement: Polyvagal Theory Informed Dance/Movement Therapy, Suzanne Weare 2020 Lesley University

Rhythm And Safety Of Social Engagement: Polyvagal Theory Informed Dance/Movement Therapy, Suzanne Weare

Expressive Therapies Capstone Theses

The polyvagal theory has exerted great influence on the field of clinical therapy since the 1990s by proposing an understanding of the psychological expression seen in clients as a reflection of their physiological state of safety or threat of danger. When affect and psychological states are viewed through the lens of the autonomic nervous system directed by neuroception through bidirectional vagal nerve information, therapeutic presence and somatic therapy practices, such as those utilized in the field of dance/movement therapy, become more conceivable as best practices to treat a variety of psychological conditions to include trauma recovery, autism spectrum disorders ...


How Can Art Therapy Be Utilized To Improve The Mental Health And Quality Of Life Of Pediatric Oncology Patients?, Emily Golubowski 2020 Lesley University

How Can Art Therapy Be Utilized To Improve The Mental Health And Quality Of Life Of Pediatric Oncology Patients?, Emily Golubowski

Expressive Therapies Capstone Theses

Pediatric oncology patients and survivors endure multiple obstacles related to physical health and recovery during and after their treatment time. In addition, mental health complications related to adjustment, anxiety, depression, and stress can complicate the overall quality of life and functioning of individuals who have endured this diagnosis and treatment. As an intervention, art therapy can provide relief from physical symptom management, relieve mental health symptoms and stressors, and improve overall quality of life. Art therapy directives and professional work can assist in teaching appropriate coping skills, enhance emotional intelligence, improve communication, restore a sense of control, and improve overall ...


The Benefits Of Intergenerational Arts-Based Experiences For Older Adults: A Review Of The Literature, Lauren Adams 2020 Lesley University

The Benefits Of Intergenerational Arts-Based Experiences For Older Adults: A Review Of The Literature, Lauren Adams

Expressive Therapies Capstone Theses

Ageism is a prevalent, yet overlooked, force of prejudice in American society, which is precipitated by the widespread institutionalized segregation of individuals among their age groups. Older adults may experience feelings of isolation and worthlessness as they undergo major life changes that disrupt their former sense of self, such as retirement or movement into an assisted living facility. This literature review discusses the significance of applying intergenerational arts-based experiences for older adults with those of a younger generation. While both art therapy and intergenerational programs have shown to benefit older adults, there remains a gap in the literature of applying ...


Using Art To Mitigate Burnout For Those Working In Direct Care, Jessica E. Goodchild 2020 Lesley University

Using Art To Mitigate Burnout For Those Working In Direct Care, Jessica E. Goodchild

Expressive Therapies Capstone Theses

Through a critical review of the existing literature, this capstone thesis seeks to investigate the potential benefits and drawbacks to the integration of guided artistic practices within the workplace. The literature reviewed focused on both qualitative and quantitative studies of burnout and explored the professional benefits that art making can provide in mitigating burnout for those within a western culture working in the field of mental health and social services, particularly in the capacity of a direct care worker (DCW). Through the review of the literature a case can be made for the benefits of using visual art to engage ...


The Efficacy Of Art Therapy As An Adjunctive Therapy For Psychosis: A Literature Review, Erin Tillquist 2020 Lesley University

The Efficacy Of Art Therapy As An Adjunctive Therapy For Psychosis: A Literature Review, Erin Tillquist

Expressive Therapies Capstone Theses

Psychosis is a serious symptom of mental illness that is characterized by a detachment from reality. This can include experiencing visual, auditory, or tactile hallucinations, as well as delusions or false beliefs (American Psychiatric Association, DSM-V, 2013). Psychosis is a symptom of many disorders including schizophrenia, bipolar disorder, substance use disorder, and dementia, among many others. Art therapy is often overlooked as a valuable treatment for psychosis, mainly due to a lack of research in the field and the difficulty of maintaining controlled research parameters with this acute population (Tamminga & Lahti, 2011). Likewise, psychosis is generally perceived as manageable through ...


Psychosis, Spirituality & Expressive Arts Therapy: A Literature Review, Julie Sousa 2020 Lesley University

Psychosis, Spirituality & Expressive Arts Therapy: A Literature Review, Julie Sousa

Expressive Therapies Capstone Theses

This literature review explores varied treatment modalities for individuals who experience psychosis, carrying diagnoses such as schizophrenia, schizoaffective, bipolar I, or bipolar II. These individuals frequently experience marginalization and stigmatization in society. Unfortunately, this is often mirrored within the health care systems that provide treatment. These systems tend to focus heavily on symptoms, highly pathologizing client’s experiences, which can cause resistance to treatment. While psychopharmacology and traditional talk therapy are shown to be effective, they are not always sustainable. Varied treatment modalities are necessary. In order to promote more holistic treatment for these individuals, this literature review highlights recent ...


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